Hypertonic disease

Hypertonic disease

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Hypertonic disease(essential hypertension) accounts for up to 90% of all cases of chronic high blood pressure (BP). In economically developed countries, 18–20% of adults suffer from hypertension, that is, they have repeated rises in blood pressure up to 160/95 mm Hg. and higher. They focus on the values ​​of the so-called “random” pressure, measured after five minutes of rest, in a sitting position, three times in a row (the lowest values ​​are taken into account). In healthy people at the age of 20–40, “random” blood pressure is traditionally below 140/90 mm Hg Art., in 41-60 years - below 145/90 mm Hg. Art., older than 60 years - not higher than 160/95 mm Hg. st.

Symptoms and course

Hypertension (hypertension) occurs traditionally at the age of 30–60 years, occurs chronically with periods of deterioration and improvement. Stage I (mild) is characterized by a rise in blood pressure in the range of 160–180 / 95–105 mm Hg. st. This level is unstable, during rest it gradually normalizes. They are disturbed by pain and noise in the head, poor sleep, decrease in mental workability.Occasionally - dizziness, bleeding from the nose. Stage II (medium) - a higher and stable level of blood pressure (180–200 / 105–115 mmHg at rest). Headaches are growing in the region of the heart, dizziness. Possible hypertensive crises (sudden and significant rises in blood pressure). There are signs of damage to the heart, central nervous system (transient disturbances of cerebral circulation, strokes), changes in the fundus, reduced blood flow in the kidneys. Stage III (severe) - the more frequent occurrence of vascular accidents (strokes, heart attacks). HELL reaches 200–230 / 115–130 mm Hg. Art., self-normalization does not happen. Such a load on the vessels causes irreversible changes in the activity of the heart (angina pectoris, myocardial infarction, heart failure, arrhythmias), brain (strokes, encephalopathy), fundus of the retina (retinal vascular damage - chronic renal failure).

Recognition is carried out on the basis of systematic determination of blood pressure, identifying characteristic changes in the fundus, electrocardiogram.Hypertensive disease will need to be distinguished from secondary arterial hypertension (symptomatic) arising from diseases of the kidneys, renal vessels, endocrine organs (Iceptko-Cushing disease, acromegaly, primary aldosteropism, thyrotoxicosis), circulatory disorders (aortic atherosclerosis, cases with a case inaccuracy syndrome, aortic insufficiency, aortic insufficiency, aortic insufficiency, aortic insufficiency, aortic insufficiency) ventricular block, coarctation of the aorta).

Treatment

Non-medicinal: weight loss, restriction of salt intake, spa treatment, physiotherapy procedures (baths, massage of the neck area). Drug treatment comprises betaadrenoblokatory (obzidan, Inderal, whiskey, atenolol, spesikor, betalok, kordanum et al.), Diuretics (hydrochlorothiazide, brinaldiks, triampur et al.), Calcium channel antagonists (verapamil, nifedipine), centrally acting products (clonidine, dopegit, reserpine), prazosin (adverzuten), captopril (capoten), apressin. Reception of complex products - adelfan, synepresa, cristepin, brynerdin, triresid is possible. In this case, the selection of therapy should be carried out exclusively individually.

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  • Hypertonic disease

    Hypertonic disease

    Hypertonic disease

    Hypertonic disease

    Hypertonic disease

    Hypertonic disease

    Hypertonic disease

    Hypertonic disease

    Hypertonic disease

    Hypertonic disease

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